Individual
MS. PATRICIA L. KELLY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW BACS
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Mailing address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-9339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4891
LA
1041C0700X
Clinical Social Worker
4891
LA
Other
Enumeration date
06/12/2012
Last updated
03/10/2017
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